Evidence map›Paper›PMID 34049102›Full record

ArticleDrug and alcohol dependence2021

Characteristics and correlates of U.S. clinicians prescribing buprenorphine for opioid use disorder treatment using expanded authorities during the COVID-19 pandemic.

Christopher M Jones, Mamadou M Diallo, Meena Vythilingam, Joshua G Schier, Matthew Eisenstat, Wilson M Compton

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Christopher M JonesNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States. Electronic address: fjr0@cdc.gov.
Mamadou M DialloNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Meena VythilingamOffice of the Assistant Secretary for Health, U.S. Department of Health and Human Services, Washington, DC, United States.
Joshua G SchierNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Matthew EisenstatNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Wilson M ComptonNational Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, United States.
Centers for Disease Control and Prevention · USNational Institutes of Health · USOffice of the Assistant Secretary for Health · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundTo determine how clinicians with a DATA waiver to prescribe buprenorphine for opioid use disorder (OUD) adapted during the COVID-19 pandemic to emergency authorities, including use of telehealth to prescribe buprenorphine, the challenges faced by clinicians, and strategies employed by them to manage patients with OUD.

methodsFrom June 23, 2020 to August 19, 2020, we conducted an electronic survey of U.S. DATA-waivered clinicians. Descriptive statistics and multivariable logistic regression were used for analysis.

resultsAmong 10,238 respondents, 68 % were physicians, 25 % nursing-related providers, and 6% physician assistants; 28 % reported never prescribing or not prescribing in the 12 months prior to the survey. Among the 72 % of clinicians who reported past 12-month buprenorphine prescribing (i.e. active practitioners during the pandemic) 30 % reported their practice setting closed to in-person visits during COVID-19; 33 % reported remote prescribing to new patients without an in-person examination. The strongest predictors of remote buprenorphine prescribing to new patients were prescribing buprenorphine to larger numbers of patients in an average month in the past year and closure of the practice setting during the pandemic; previous experience with remote prescribing to established patients prior to COVID-19 also was a significant predictor. Among clinicians prescribing to new patients without an in-person examination, 5.5 % reported difficulties with buprenorphine induction, most commonly withdrawal symptoms.

conclusionsTelehealth practices and prescribing to new patients without an in-person examination were adopted by DATA-waivered clinicians during the first six months of COVID-19. Permanent adoption of these authorities may enable expanded access to buprenorphine treatment.

Indexed as

PandemicsTelemedicineAdultAgedBuprenorphineCOVID-19Drug PrescriptionsFemaleHealth Care SurveysHealth Services AccessibilityHumansMaleMiddle AgedOpioid-Related DisordersPractice Patterns, Physicians'United StatesBuprenorphineBuprenorphineCOVID-19Medication treatment for opioid use disorderOpioid overdoseOpioid use disorder

Identifiers

PMID34049102
PMCPMC9186054
OpenAlexW3164126346

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.